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STANLEY BAUM, MD; MOREYE NUSBAUM, MD; HARRIS R. CLEARFIELD, MD; KOSON KURODA, MD; HENRY J. TUMEN, MD

Arch Intern Med. 1967;119(1):16-24.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE DIAGNOSTIC challenge of gastrointestinal bleeding is one that confronts physicians constantly. Even the most astute clinician aided by skillfully used radiographic and endoscopic procedures may be defeated in his search for the location and cause of a hemorrhage. The frequency with which the cause of gastrointestinal bleeding remains undiagnosed has been emphasized many times. In some series of carefully studied patients, failure to find the source of a hemorrhage has ranged from 15% to 40%.^1-3 When bleeding has been characterized by melena without hematemesis inability to find the cause has been even more striking, as high as 52% in one series.⁴ Even surgical exploration frequently fails to disclose the cause of melena. Retzlaff et al⁵ reported that the source of the bleeding was discovered at operation in only 30% of a group of patients with melena.

Because of the need for greater accuracy in locating these . . . [Full Text PDF of this Article]

Author Affiliations
PHILADELPHIA

From the Graduate Hospital, University of Pennsylvania, Philadelphia.

Footnotes
Received for publication Sept 14, 1966; accepted Sept 29.

Read before the Section on Gastroenterology, American Medical Association, New York, June 23, 1965.

Reprint requests to the Graduate Hospital, University of Pennsylvania, 19th & Lombard Streets, Philadelphia.

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